Ketevan Mdzinarishvili-Fightmaster, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

6599 Issued in OK

Practice address

11500 N Portland Ave
Oklahoma City, OK 73120-4625

Phone

(405) 548-4300

Fax

(405) 548-4350

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maico Audiological ServicesGroup PAC ID 2365344074, 7 clinicians

WNC Audiology, PLLCGroup PAC ID 6608092085, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maico Audiological Services

  • Hearing Aid Equipment
  • Newport News, VA
  • NPI 1275690497

  Audiologist, NC

  Medicare reassignment Care Compare group NPD
• WNC Audiology, PLLC

  • Audiologist
  • Asheville, NC
  • NPI 1588081046
  Medicare reassignment Care Compare group NPD
• Carolina Speech and Hearing, Inc.

  • Audiologist
  • West Columbia, SC
  • NPI 1376054908
  NPD (past)
• Raleigh Hearing and Tinnitus Center LLC

  • Audiologist-Hearing Aid Fitter
  • Raleigh, NC
  • NPI 1407159825
  NPD (past)
• W.N.C. Ear Nose Throat Head and Neck Surgeons, PA

  • Clinic/Center
  • Asheville, NC
  • NPI 1811944689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1396423869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204625",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204625",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8125 E 101st St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741337245",
            "country_code": "US",
            "telephone_number": "918-392-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2272 36th Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723251",
            "country_code": "US",
            "telephone_number": "405-767-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MDZINARISHVILI-FIGHTMASTER",
        "first_name": "KETEVAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann McVay, PA-C
• Alexia McWaters, RN
• Lisa Jo McWhirter, LADC-US LPC, CAND
• MD Care Clinic, P.C.
• Mdpok Physicians, P.C.
• Chloe Leone Meacham
• Heather R Meade, PHARMD
• Mathew Scott Meaders
• Mackenzie Meador
• Hayley Jane Meadors, PHARMD

• Audiologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.